Active NPI
Katrina M Anderson, LMHC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1932499647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 004690
- Practice address
- 50 Lexington Ave
New York, NY 10010-2935 - Phone
- (646) 524-5350
- NPI assigned
- Apr 14, 2011
- Last updated
- May 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004690 | NY | Primary |
Addresses
Primary practice location
50 Lexington Ave
New York, NY 10010-2935
Mailing address
419 E 81St St Apt 1a
New York, NY 10028-5114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260414001006 | NY | Practitioner - Mental Health Counselor | 9537634928 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
113 University PL
New York, NY 10003-4576
113 University PL
Suite 114
New York, NY 10003-4527
Phone (646) 276-5764
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004690 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1932499647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 E 81ST ST APT 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100285114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100102935",
"telephone_number": "646-524-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KATRINA",
"middle_name": "M",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-14",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "004690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.